Individual provider Active NPI

Louis Moon, D.D.S.

  • Dentist
  • Irvine, CA
National Provider Identifier
1982070207
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65011 Issued in CA
Practice address
14130 Culver Dr Ste C
Irvine, CA 92604-0321
Phone
(949) 653-8888
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65011 CA Primary

Addresses

Primary practice location

14130 Culver Dr Ste C
Irvine, CA 92604-0321

Mailing address

109 Barrington
Irvine, CA 92618-0841
Phone (714) 292-1576

Other practice location 1

16444 Paramount Blvd
102
Paramount, CA 90723-5422
Phone (562) 634-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65011CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Moon DDS, Inc. CurrentSince Sep 23, 2021 Accepting new patients
A. Rajabi, DDS Inc. Dentist PastSince Sep 23, 2021 Accepting new patients

Locations

14130 Culver Dr
Ste C
Irvine, CA 92604
Phone (949) 653-8888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1982070207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BARRINGTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180841",
            "telephone_number": "714-292-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 CULVER DR STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040321",
            "telephone_number": "949-653-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16444 Paramount Blvd",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235422",
            "country_code": "US",
            "telephone_number": "562-634-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "LOUIS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.